Analysis Of Sub-health State Of Colliery Migrant Workers And Its Social Psychological Factors In Jinsha County Of Guizhou Province

Objective: To describe and analyze the sub-health state of colliery migrant workers and its social psychological factors in Jinsha county of Guizhou province and formulate sub-health intervention policies and prevention measures to adapt to county conditions.Methods: The 1114 colliery migrant workers were collected and assessed the sub-health state self-measurement scale.The Cronbach’α reliability coefficient,the split-fold reliability,the Guttman coefficient,and the one-factor stochastic model were used to measure the intra-group correlation coefficient ICC and factor analysis.The reliability and validity analysis used a two-class Logistic regression model to analyze the social psychological factors of colliery migrant workers in different health status,and used the path analysis model to analyze the social psychological factors of sub-health state of colliery migrant workers.Results:(1)Sub-health state self-measurement table reliability and validity test: Cronbach’α coefficient is 0.8600,Spearman-Brown split-fold reliability coefficient is 0.8250,Guttman coefficient is 0.8220,average measured ICC value is 0.8600(95% CI: 0.84~0.87),the difference was statistically significant(P<0.05).The principal component method was used to analyze the correlation matrix.The Kaiser-Meyer-Olkin(KMO)value of the scale was 0.9250 after the maximum variance orthogonal rotation.Bartlett’s sphericity test of the approximate chi-square value was 5586.859,and the difference was statistically significant(P<0.05),suggesting that the scale has good reliability and validity.(2)Sub-health detection: There were 907 sub-healthy people and 207 healthy people among the 1114 colliery migrant workers respectively with a detection rate of 81.4% and 18.6% respectively.Among the 907 sub-healthy people,the youth(75.2%),the Han(91.0%),the married(87.8%),the junior high school education(61.2%)and the province’s source(52.6%)were the main players.(3)Analysis of the influencing factors of colliery migrant workers in different health status: The results of single factor analysis showed that marriage,source,drinking,physical exercise,daily sleep time,work intensity,work shift and the first colliery work characteristics and these differences were statistically significant(P<0.05).The results of the two-category Logistic regression analysis showed that work shifts(OR=2.2120,95% CI: 1.317~3.714),PCS(OR=1.031,95%CI: 1.013~1.050),MCS(OR=1.017,95%CI: 1.003 ~1.032)were risk factors for sub-health state of colliery migrant workers,marriage(OR=0.266,95%CI:0.103~0.68 8),drinking(OR=0.293,95%CI: 0.141~0.608),source(OR=0.575,95%CI: 0.394~0.83 9),emotional exhaustion(OR=0.765,95% CI: 0.643~0.911)were protective factors.(4)Analysis of influencing factors of sub-health state of colliery migrant workers : The results of single factor analysis showed that there were statistical significance between age,marriage,working age,medical insurance,work shift,the first colliery work and sub-health score(P<0.05).Spearman rank correlation analysis showed that emotional exhaustion,cynicism and positive sub-health scores were positively correlated(P<0.01),and social support utilization,PCS,MCS and low sense of achievement were negatively correlated with sub-health scores(P <0.01 or P<0.05).The results of path analysis showed that work intensity,work shift,age,marriage,physical exercise and emotional exhaustion directly affect the sub-health state of colliery migrant workers,cynicism,low sense of accomplishment,medical insurance,MCS,smoking and working age for sub-health state of colliery migrant workers.They played an indirect role.Conclusion:The sub-health self-test state scale is suitable for measuring the sub-health state of colliery migrant workers;colliery migrant workers have become a high-risk group for sub-health;it is recommended that coal mining enterprises scientifically and rationally adjust the work shift system,especially for middle-aged and elderly people to carry out "group psychological counseling";appealing to government departments at all levels to actively explore the construction of a social support system for colliery,increase vocational training and education,and increase the utilization of social support by colliery migrant workers,in order to increase the participation rate of colliery migrant workers,thereby achieving the purpose of coping with sub-health state.